Hospital for Special Surgery prescribes opioid medications conservatively. We do not routinely prescribe long-acting opioids. We do not prescribe more than a short-course of short-acting opioids, and in general, we do not refill lost, stolen, or destroyed prescriptions.
Prior to surgery, patients will receive education on the various aspects of the surgical process, including opioid prescription management. Patients with a prior history of opioid use may be referred to our Chronic Pain Consult team for further evaluation. Long-term opioid use impacts anesthetic and pain management options and requires further evaluation to ensure the highest quality of care.
The day of surgery, patients will have the opportunity to discuss their anesthetic and pain medicine options with their anesthesiologist and surgeon before the anesthetic plan is set.
Opioid Prescription Safety Tips
Take your medications only as directed by your doctor. DO NOT share your medications with anyone - sharing your prescriptions is illegal and could endanger other people’s health.
If you are taking benzodiazepines (Xanax, Valium, etc.), consult with your prescriber on the management of these medications with opioids. Combining opioids with these medications can slow or stop breathing. DO NOT mix opioid medications with alcohol. Avoid driving or operating heavy machinery until you know how your medications affect you.
Store your prescriptions securely in their original containers. Keep them out of sight and out of children’s reach, preferably in a locked cabinet or high shelf.
Unused medications are best disposed of at a take back facility/pharmacy – search for public disposal locations here.
Dispose of medications immediately after your pain symptoms have resolved.
Video – Opioid Safety 101: Managing Your Prescription at Home
Misuse and Overdose Risks
When misused, prescription medications may be just as dangerous as illegal drugs.
Misusing your medications can have serious consequences including lack of energy, inability to concentrate, physical weakness, nausea, vomiting, and suppressed breathing to the point of death. If you have not taken your medications as directed, and you experience any of these symptoms, please go immediately to an emergency room.
If you feel that you have taken more medication than what was prescribed, seek immediate medical attention.
Misusing your medications may also lead to addiction – it is imperative that you take your medications only as prescribed.
As you recover from surgery your opioid use should decrease. If severe pain persists or your opioid requirements increase, please notify your surgeon.